Item | DT | Card | Conf | Description | Label |
---|
| | | R | | (IPS...FST) |
| @classCode
|
| cs | 0 … 1 | F | OBS |
| @moodCode
|
| cs | 1 … 1 | F | EVN |
| hl7:templateId
|
| II | 1 … 1 | M | | (IPS...FST) |
| | @root
|
| uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.6 |
| hl7:id
|
| II | 0 … * | R | | (IPS...FST) |
| hl7:code
|
| CD.IPS | 1 … 1 | R |
This element describes the type of condition this observation is referring to.
| (IPS...FST) |
| CONF | The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.16 IPS Problem Type (2017‑04‑07) |
|
| hl7:text
|
| ED | 0 … 1 | R |
The <text> element if present points to the text describing the problem being recorded; including any dates, comments, et cetera. The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.
| (IPS...FST) |
| | hl7:reference
|
| TEL | 1 … 1 | M | | (IPS...FST) |
| url | 1 … 1 | R | When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1 |
| hl7:statusCode
|
| CS (required) | 0 … 1 | R |
A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the <statusCode> shall always have code='completed'.
| (IPS...FST) |
| | @code
|
| CONF | 0 … 1 | F | completed |
| hl7:effectiveTime
|
| IVL_TS | 1 … 1 | M |
The effectiveTime, also referred to as the “biologically relevant time” is the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of heart attack that occurred five years ago, the effectiveTime is five years ago.
The <low> and <high> values should be no more precise than known, but as precise as possible.
| (IPS...FST) |
| | hl7:low
|
| IVXB_TS | 1 … 1 | R | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. | (IPS...FST) |
| | hl7:high
|
| IVXB_TS | 0 … 1 | C | The effectiveTime/high (a.k.a. "resolution date") asserts when the condition e became biologically resolved. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK". | (IPS...FST) |
| Constraint | If this condition is known to be resolved, then the effectiveTime/high would be present.
|
| hl7:value
|
| CD.IPS (preferred) | 1 … 1 | R |
The <value> is the condition that was found. While the value may be a coded or an un-coded string, the type is always a coded value. If uncoded, it shall contain a <reference> to the <originalText> in the narrative where the reaction is described.
| (IPS...FST) |
| | hl7ips-dataelement-193 | Manifestation of the reaction | CEN/TC 251 prEN 17269 |
|
| | @xsi:type
|
| cs | 1 … 1 | F | CD |
| CONF | The value of @code comes preferably from value set 2.16.840.1.113883.11.22.3 Allergy Reaction (2017‑02‑23) |
|
| | hl7:originalText
|
| ED | 0 … 1 | R |
The <originalText> element within the <code> element described above is used as follows: the <value> contains a <reference> to the <originalText> in order to link the coded value to the problem narrative text (minus any dates, comments, et cetera). The <reference> contains a URI in value attribute. This URI points to the free text
description of the problem in the document that is being described.
| (IPS...FST) |
| | 0 … 1 | R | The URI given in the value attribute of the <reference> element points to an element in the narrative content that contains the complete text describing the medication. In a CDA document, the URI given in the value attribute of the <reference> element points to an element in the narrative content that contains the complete text
describing the medication. | (IPS...FST) |
| Example | <reference value="#AdvReaction_1"/> |
| | hl7:translation
|
| CD | 0 … * | | | (IPS...FST) |
| hl7:entryRelationship
|
| | 0 … 1 | R | Severity The contained entry describes a subjective assessment of the severity of the condition as evaluated by the clinician. Contains 2.16.840.1.113883.10.22.4.25 IPS Severity Observation (DYNAMIC) | (IPS...FST) |
| | hl7ips-dataelement-194 | Severity | CEN/TC 251 prEN 17269 |
|
| | @typeCode
|
| cs | 1 … 1 | F | SUBJ |
| | @inversionInd
|
| bl | 1 … 1 | F | true |